Instead of CMS paying 2- 4X the rate per hour for 4 visits per hour, pay a bit more per hour for one to two visits per hour. Providers are expected to learn guidelines that dictate that the best and first line treatment for cardiometabolic and vascular diseases is preventive lifestyle changes, yet third party payers do not pay them to do it. We can not even find out what is really wrong for chronic diseases with multiple comorbidities in less than 5-10 minutes (avge time to document is 5-9 mins). We just have time to give a few lines of help and/or write a script. It is not fair to the public or providers. They can learn how, they are smart. Just pay them and they will show up. Also pay nutritionists, but make sure they are evidence-based and clean/whole foods oriented. strong text
only issue is the already ongoing issue of limited access to care
Long term, prevention will reduce disease, and thus, the number of medical visits overall. When people are healthier, access to care improves.